Gamma-BHC: Daily Use and Effectiveness for Scabies Treatment - Dermatology

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Gamma-BHC (Benzene hexachloride)


After the consultation, the doctor prescribed three tubes of Gamma-BHC (Scabicide) and three tubes of Amcinonide.
I am unsure how to use them, so I called the outpatient department, and the doctor said to apply them daily until the follow-up appointment for improvement.
I would like to ask if Gamma-BHC can be used every day.
I have already used it the day before yesterday and yesterday, but I am hesitant to continue using it.
Although I still have rashes and itching on my body, the ingredient list included with the medication indicates that it should only be used once.
This uncertainty is causing me a lot of distress.

Youer Er, 20~29 year old female. Ask Date: 2018/11/05

Dr. Li Yufen reply Dermatology


Hello: Regarding the treatment of scabies, you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=50.
It is generally recommended to apply the medication evenly to the skin from the neck down in one application, and to return for a follow-up appointment one week later.
Additionally, pay attention to environmental disinfection and control measures.
Thank you!

Reply Date: 2018/11/05

More Info


Gamma-BHC, also known as Benzyl Benzoate or Gamma-Hexachlorocyclohexane, is a topical medication commonly used to treat scabies, a skin infestation caused by the Sarcoptes scabiei mite. The treatment regimen for scabies typically involves applying the medication to the entire body, from the neck down, and leaving it on for a specified period, usually overnight, before washing it off.
In your case, it seems that your doctor has prescribed three tubes of Gamma-BHC and instructed you to apply it daily until your next appointment. However, your concern about the frequency of application is valid, especially since the product's instructions indicate that it may only need to be applied once.
The general recommendation for Gamma-BHC is to apply it once to the affected areas, ensuring that it covers all skin surfaces, including areas that may not show visible signs of infestation. This is crucial because scabies mites can be present in areas that are not immediately visible, and thorough application helps to ensure that all mites are eradicated. After the initial application, some doctors may recommend a second application after a week, especially if symptoms persist, but daily use is typically not necessary and may lead to skin irritation.

If you are experiencing ongoing symptoms such as redness and itching after using Gamma-BHC, it is important to consider a few factors. First, the symptoms may be a result of the scabies infestation itself, as it can take time for the skin to heal and for the itching to subside even after successful treatment. Second, you may be experiencing a reaction to the medication, which can occur in some individuals.
In terms of safety, while Gamma-BHC is effective for treating scabies, overuse can lead to skin irritation, dryness, or allergic reactions. If you have already applied it for two consecutive days and are concerned about continuing, it may be wise to stop and consult your healthcare provider for further guidance. They may recommend alternative treatments or additional medications to alleviate your symptoms, such as antihistamines for itching or topical corticosteroids to reduce inflammation.

In summary, while Gamma-BHC is an effective treatment for scabies, it is typically not recommended for daily use beyond the initial application. If you have concerns about your treatment plan or are experiencing adverse effects, it is best to follow up with your healthcare provider for personalized advice. They can assess your condition, provide reassurance, and adjust your treatment as necessary to ensure both effectiveness and safety.

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